Gastrointestinal Motility and Functional
Gastrointestinal Disorders
Dysphagia, nausea, vomiting, abdominal pain, constipation,
gas and bloating, and fecal incontinence are commonly caused
by motility and/or sensory disorders and cannot be explained
by endoscopic or imaging studies.
Today, disorders of gastrointestinal motility and function such
as constipation, irritable bowel syndrome, functional
dyspepsia, gastroesophageal reflux disease, and fecal
incontinence affect 40 percent of the population of the
United States. These disorders pose a heavy burden of illness
with decreased quality of life and decreased work productivity.
Unfortunately, they are often ignored because of a lack of
understanding of the disease mechanisms, diagnostic
approaches, and appropriate therapy. Appropriate evaluation
and diagnosis of these disorders can improve the lives of these
patients and decrease health care costs. It is therefore essential
that gastroenterology fellows learn how to recognize and treat
these common disorders of gastrointestinal motility.
American Neurogastroenterology and Motility
Society
The American Neurogastroenterology and Motility Society
(ANMS) is the national gastrointestinal motility organization
dedicated to the study, training, and practice of gastrointestinal
motility and neurogastroenterology. ANMS represents a broad
group of academic and practicing clinicians, scientists,
trainees, technicians, and nurses. ANMS seeks to foster
excellence in research and medical practice and to promote
gastrointestinal motility and neurogastroenterology.
High-resolution contour image (bear down)
However, there is a lack of training in gastrointestinal
motility and neurogastroenterology across the United States.
Because these disorders represent the most common
gastrointestinal problems, an in-depth knowledge of these
problems is a must for gastroenterology fellows and for their
future role as gastroenterologists.
Acknowledgements: ANMS has received an
unrestricted educational grant from Given Imaging, Inc. in
support of this program.
Clinical
Training Program
in
Gastrointestinal Motility
and
Neurogastroenterology
The ANMS Clinical Training Program provides a unique
opportunity for selected gastroenterology fellows to pursue
apprenticeship-based training in gastrointestinal motility and
neurogastroenterology at Gastrointestinal Motility Centers of
Excellence as recognized by ANMS. This program addresses
the unmet clinical need for learning and caring for patients
with functional gastrointestinal disorders.
This clinical training program will help gastroenterology
fellows to pursue advanced training in gastrointestinal motility
and neurogastroenterology. It will further their understanding
of gastrointestinal motility dysfunction and the gastrointestinal
motility tests that form the basis for effective and appropriate
treatment of patients.
American Neurogastroenterology
and Motility Society
Esophageal impedance manometry
Wireless capsule manometry
Description of the Program
The ANMS Clinical Training Program in Gastrointestinal
Motility and Neurogastroenterology is designed to support
trainees (gastroenterology fellows) for a one-month training
program at one of eleven Gastrointestinal Motility Centers of
Excellence as recognized by ANMS.
 Cedars-Sinai Medical Center, Los Angeles, CA
 Georgia Regents University, Augusta, GA
 Medical College of Wisconsin (Adult) and Children's
Hospital of Wisconsin (Pediatrics), Milwaukee, WI
 Nationwide Children’s Hospital, Columbus, OH
(Pediatric)
 Penn State Milton S. Hershey Medical Center, Hershey, PA
 Temple University, Philadelphia, PA
 Texas Tech University Health Sciences Center, El Paso, TX
 University of Michigan, Ann Arbor, MI
 University of North Carolina at Chapel Hill, NC
 Wake Forest University School of Medicine, Salem, NC
 Washington University, St. Louis, MO
The candidates selected for this clinical training program will
learn the latest technologies and treatment options for
gastrointestinal motility disorders under the mentorship of
experts in gastrointestinal motility and functional
gastrointestinal disorders.
For the 2014–2015 academic year, twenty trainees
(gastroenterology fellows) will be selected for a one-month
training program at one of the eleven Gastrointestinal Motility
Centers of Excellence as recognized by ANMS. Each
participant will receive a stipend of up to $2,000 to help cover
travel and lodging expenses.
Trainees will become familiar with the diagnostic testing for
gastrointestinal motility disorders and the appropriate
management of these disorders. This will be important for their
future care of these patients. This program will also provide a
foundation for the operation of a gastrointestinal motility
laboratory.
fMRI imaging in IBS
3-D anorectal pressure
topography
Learning Objectives and Educational
Activities
A broad range of educational tools will be used to instruct
gastroenterology fellows in the evaluation and care of patients
with gastrointestinal motility and functional gastrointestinal
disorders.
1. Observe gastrointestinal motility procedures and learn how
to interpret the clinical tests under faculty mentorship.
Participants will learn how to apply a wide range of
motility tests, including high-resolution esophageal
manometry, pH tests, gastric emptying, wireless capsule
motility, breath tests, anorectal manometry, and
biofeedback therapy.
2. See patients who have a variety of different gastrointestinal
motility disorders including achalasia, diffuse esophageal
spasm, GERD, gastroparesis, functional dyspepsia, chronic
intestinal pseudoobstruction, IBS, constipation, and fecal
incontinence.
3. Attend didactic lectures covering gastrointestinal motility
disorders and gastrointestinal motility tests. The approach
to challenging gastrointestinal motility disorders will be
discussed and participants will present case studies.
4. Participants will receive a syllabus covering topics in
gastrointestinal motility.
High-resolution pressure topography
Who Should Apply?
This program is designed for fellows in adult or pediatric
gastroenterology training programs (US and Canada trainees
only) who are interested in learning more about
gastrointestinal motility and neurogastroenterology or who are
considering a career in these areas of medicine.
How to Apply
Applications are being accepted on a first-come basis for a
one-month training program to occur during the 2014–2015
academic year.
Applications are available on the ANMS Web site:
www.motilitysociety.org.
Submit the following three items:
1. Completed application form must be submitted online
2. Letter of nomination from applicant’s Program Director
or Chief of Gastroenterology (upload at time of
application to include email address of program director)
3. Curriculum vitae (upload at time of application)
The letter of nomination and curriculum vitae must be
uploaded at the time of application.
For further information, contact:
Satish Rao, MD, PhD, Immediate Past President, ANMS
Telephone: (706) 721-2238
E-mail: [email protected]
Henry Parkman, MD
Telephone: (215) 707-7579
E-mail: [email protected]
Lori Ennis
Executive Director, ANMS
Telephone: (734) 699-1130
Fax: (734) 699-1136
E-mail: [email protected]
High-resolution manometry with
video swallow studies
Bravo pH monitoring